The Effect of Different Types of Focus Instructions in Parkinson's Rehabilitation
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age50-70
SponsorBahçeşehir University
About this trial
Parkinson's disease is the most common progressive neurodegenerative movement disorder. Common movement impairments in Parkinson's include balance and walking difficulties. These impairments lead to falls, increased levels of functional dependency, and a decrease in quality of life. Exercise in Parkinson's patients improves their functional symptoms in daily life, enhancing both motor and non-motor skills, and consequently increases their quality of life. Recently, various additional methods have been developed to increase the effectiveness of exercise in Parkinson's rehabilitation and to contribute to motor skills. Focus of attention instructions are fundamental concepts in motor function learning. External focus of attention has been shown to facilitate motor function development, reduce postural instability, and improve dual-task walking by being easier to remember. In Parkinson's patients who experience freezing phenomena, internal focus of attention instructions enhance walking stability and movement control, thereby reducing the risk of falls. However, there are no studies on the combined focus of attention instructions in Parkinson's patients. This study is designed as a randomized controlled, single-blind, prospective trial to examine the effects of a combination of internal and external focus of attention instructions on walking, balance parameters, quality of life, and patient satisfaction levels, taking into account the presence of freezing phenomena in Parkinson's patients.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Hoehn and Yahr Stage II or III
Individuals between the ages of 50 and 70 who can walk independently but have balance disorders
Having a score between 21-56 on the Berg Balance Scale
Having a score between 24-30 on the Mini Mental State Test
Disqualifiers
Having malignancy and metabolic diseases
Having had Cerebrovascular Accident before
Other neurological disease history
Presence of cognitive problems
Trial design
Design model
Parallel
Treatments tested in this trial
Exercise
Other interventionAll participants will perform a total body stretching exercise for 10 minutes, followed by 10 minutes of obstacle course navigation, 10 minutes of balance training (including tandem walking, balance board exercises, single-leg balance, and two-legged reaching exercises), and will conclude with 10 minutes of strength training exercises.
Treatment groups
48 Participants
are divided into 3 treatment groupsGroup A: Group1: Exercises with External Attention Focus InstructionsExperimental treatment 1 intervention
Group B: Group 2: Exercises with Combined Attention Focus InstructionsExperimental treatment 1 intervention
Group C: Grup 3: Exercises with no instructions (Control Group)Experimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Berg Balance Scale
This is a 14-item scale that measures the ability to maintain balance during dynamic tasks. It is rated on a scale of 0 to 4 points, with a maximum total score of 56. As the total score decreases, the risk of falling increases. 0 to 20 points: Indicates that the individual is dependent on a wheelchair and has a 100% risk of falling. 21 to 40 points: Suggests that the individual has a moderate risk of falling and may be able to walk with assistance. 41 to 56 points: Indicates that the individual can ambulate independently with a low risk of falling.
Time frame
baseline, six weeks after the baseline2
Time Up and Go Dual Task
The test assesses balance, walking, and functionality during activities. The TUG-Dual Task evaluates walking abilities and attention management by asking participants to solve a simple math problem or perform another cognitive task while walking. Patients will be assessed for functionality, walking speeds, and balance evaluations. If the duration lasts more than 12 seconds, there is a risk of falling.
Time frame
baseline, six weeks after the baselineSecondary outcomes
1
The Parkinson's Disease Questionnaire-39 (PDQ-39)
The PDQ-39 is a PD specific health status questionnaire comprising 39 items. Respondents are requested to affirm one of five ordered response categories according to how often, due to their PD, they have experienced the problem defined by each item. Items are grouped into eight scales that are scored by expressing summed item scores as a percentage score ranging between 0 and 100 (100¼more health problems).
Time frame
baseline, six weeks after the baselineOther outcomes
1
Likert Scale Questionnaire
Likert scale is a measurement tool that combines multiple Likert-type questions. It is defined as the creation of two or more Likert-type questions to address a single research problem, and using the average values of these questions during the analysis phase. The aim is to determine individuals' average attitudes on these topics based on the combined values of all questions. To determine the scope of the patient's treatment, 5 questions and a high score of 10 are evaluated. The highest score is 50, indicating that the person is satisfied with the treatment; as the score decreases, satisfaction with the treatment decreases.
Time frame
baseline, six weeks after the baselineSponsors and contacts
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Source ClinicalTrials.gov